Medical record retention law

New Medical Record Retention Law: Keep Patient Records for 10 Years

We normally look to the Supreme Court to make landmark decisions (like the Affordable Care Act), but the court rules on many smaller cases that — while they may not make it to the nightly news — still affect our daily lives. One of those is the May 2019 decision on Cochise Consultancy Inc. v. […]
Payer Contracting Negotiation

Watch Out for These 11 Devious Payer Contract Negotiation Tricks

How hard are your managed care contracts working for you? Could your payer contracts even be working against you? Payer reimbursements are the foundation of your practice revenue, but unfavorable contract terms can cost you thousands of dollars. Many providers find payer contract negotiation — or renegotiation — to be a complex and even uncomfortable […]
abn form

Medicare’s ABN Form: Top 10 Mistakes You’re Making (and How to Fix Them)

Using Medicare’s ABN form, Advance Beneficiary Notice might be a routine part of your job, but are you sure you’re doing it correctly and compliantly? Providers and staff who treat Medicare patients must know exactly how and when to issue a CMS ABN form to avoid costly write-offs and penalties. If you’re like most providers […]

Inappropriate Billing of QMBs

The purpose of this Change Request is to instruct Medicare Administrative Contractors (MACs) to report on an ongoing basis the issuance of provider compliance letters as first outlined in CR9817 and subsequent technical direction.

Chapter 11 Update

This Change Request makes updates to the manual language regarding billing for physician assistants as the attending, coinsurance on inpatient respite care, and to the section about hospice election periods and benefit periods in Medicare Systems in Chapter 11, section 10, 20.1.6, 30.3, 40.1.1 -, 40.2, 50, and 70.3 of the Medicare Claims Processing Manual.

Implementing Changes via the esMD System

The purpose of this Change Request (CR) is to implement the changes required to send Additional Documentation Request (ADR) letters to participating providers via the esMD system.

New Medicare Card Project Updates

The purpose of this Change Request (CR) is to update language-only changes for the New Medicare Card Project-related language in Pub 100-08.